This form and the submission of your information and/or application should not be construed as an offer to sell, or the solicitation of an offer to buy, a franchise. Me Va Me Kitchen Express has the sole right to approve or disapprove any potential franchisee and you will only be contacted if Me Va Me Kitchen Express determines that your application merits further consideration.

Fields marked with * are mandatory.

Mr.

Mrs.

Miss.

* First Name

* Last Name

* Address

* City

* Province

* Phone Number

* Emergency Contact Name

* Emergency Contact Phone

* Position Applied For

* Salary Expected

* Smartserve Cert #

No Cert #?

Do Not Have Cert

* What type of work?

Temporary

Part Time

Full Time

* Indicate Availability?

Days

Nights

Weekends

* Preferred Location

Employment History

* Employer Name

* Address

* Position Held

* Employer Name

* Address

* Position Held

* Employer Name

* Address

* Position Held

Please List Past Employer References

* Name

* Phone

* Name

* Phone

* Name

* Phone

I authorize and request each former employer above, to answer any and all questions that may be asked and give any information concerning my work habits, skill or character. I also authorize (upon hiring) that uniform costs can be deducted from my pay cheque if said uniform is required for the position I am hired for and that I will also be responsible for the cost to replace said uniform if it is required due to regular wear and tear. Uniform costs are non-refundable. I also understand and accept that I will be paid bi-weekly and that overtime pay is based on that bi-weekly payroll after 88 (eighty-eight) hours.